Tag: guidelines
Care that Matters: Quality Measurement and Health Care
Barry Saver and colleagues caution against the use of process and performance metrics as health care quality measures in the United States. There is limited evidence that many "quality" measures - including those... read more
Why the New Sepsis Guideline Changed
Recent guidelines for how to best manage septic shock have changed. Gone are recommendations for central venous oxygen saturation monitoring and goal-directed therapy. In is the concept that septic shock be treated as an... read more
No IV Hydration for Contrast Nephropathy? AMACING Trial Challenges a Cornerstone of Prophylaxis
A Dutch study undercutting the established role of hydration in preventing kidney damage during procedures is raising eyebrows. Dutch researchers are calling into question one of the cornerstone practices of cath labs and... read more
New Guidelines for Accurate Diagnosis of C. difficile Infection
Clostridium difficile infection (CDI), a potentially lethal bacterial infection, causes colon inflammation and is responsible for 3,700 deaths in Europe per year. This highly symptomatic infection causes fever, diarrhea,... read more
Glut of Anesthesia Guidelines a Disservice, Except for Lawyers
Anesthesia practice guidelines are out of control, too many to adopt, too anecdotal to accept and too political to take seriously! Clinicians are already ignoring and pushing back on guidelines. A study presented at the recent... read more
Updated Guidelines for Sepsis Management
In 2017 the Society for Critical Care Medicine updated its guidelines for sepsis management. These new guidelines differ significantly from ones in the past in that they no longer recommend protocolized resuscitation and... read more
Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy
Between June 17, 2014, and July 17, 2016, 660 consecutive patients were randomly assigned to receive no prophylaxis (n=332) or intravenous hydration (n=328). 2–6 day serum creatinine was available for 307 (92%) of 332 patients... read more
Pain Assessment in INTensive care (PAINT)
Pain is a common and distressing symptom experienced by intensive care patients. Assessing pain in this environment is challenging, and published guidelines have been inconsistently implemented. The Pain Assessment in INTensive... read more
Major publications in the critical care pharmacotherapy literature
The Critical Care Pharmacotherapy Literature Update (CCPLU) Group is composed of over 50 experienced critical care pharmacists who evaluate 31 peer-reviewed journals monthly to identify literature pertaining to pharmacotherapy... read more
AAP: Recommendations for Preventive Pediatric Health Care
The 2017 Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) have been approved by the American Academy of Pediatrics (AAP) and represents a consensus of AAP and the Bright Futures Periodicity Schedule... read more
Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU
The primary goal of these guidelines is to identify best practices for family-centered care in the ICU based on existing evidence. These guidelines were developed using a rigorous, objective, and transparent assessment of... read more
Wide variations found in evaluation of newborns for sepsis
The evaluation of well-appearing term infants for early-onset sepsis (EOS) varies considerably among hospitals, with some doing extensive work-ups and giving antibiotics while others simply observe and provide newborn routine... read more
Manufacturer guidelines fall short for endoscope reprocessing
A just-published study finds that current endoscopic manufacturer cleaning instructions for a wide range of GI, urological and respiratory devices used in diagnostic procedures still fail to protect patients from the risk... read more
Hydrocortisone Fails to Prevent Septic Shock
Hydrocortisone failed to reduce the risk of septic shock in severe sepsis patients in recent research, though its authors held out hope that a larger study could show a better result. Current guidelines recommend hydrocortisone... read more
Six myths promoted by the new surviving sepsis guidelines
The Rivers trial and the Surviving Sepsis Campaign popularized sepsis protocols, which saved lives. Massive accomplishment. However, that doesn’t validate the individual components of early goal-directed therapy. Any protocol... read more
Protocol Lacking for Post-op Delirium
While 70% of anesthesiologists say they "frequently" or "occasionally" encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients.... read more
Nutrition in critically ill adults: A systematic quality assessment of clinical practice guidelines
Nutritional support in the acutely ill is a complex topic. Clinical practice guidelines (CPGs) have been developed to assist healthcare professionals working in this field. However, the quality of these clinical guidelines... read more
